1. Kevin Jarman Deputy Director - Adults IAPT National Team
Update on the National IAPT Programme
Information Tools for IAPT Services
London
27 September 2013

2. Progress: achievements so far
Since October 2008 nationally:
An IAPT service in every PCT
4,670 new trainees in first four academic years
1,732,732 have entered treatment
1,057,740 have completed treatment
399,884 have reached recovery
70,612 have moved off of sick pay and benefits
Current Recovery rate 46.8%, highest rate since KPIs started
Meeting 68% of target prevalence, highest rate since KPIs started
(latest verified figures to 31 March 2013)

3. Access Performance to Q4 12/13

4. Recovery Performance to Q4 12/13

5. Performance to Q4 12/13

6. Talking Therapies: four – year plan of action
Complete roll-out of services for adults
Improve access to psychological therapies for people with Psychosis, Bipolar Disorder, Personality Disorder
Talking Therapies
Initiate stand – alone programme for children and young people
Improve access for older people and BME communities
Develop models of care for:
Long Term Conditions
Medically Unexplained Symptoms

7. Completing the Roll Out
15% of prevalence (over 900,000 people per year) entering treatment
Recovery rates of 50% minimum
25,000 off sick pay and benefits per year, achieved in 2012/13
Equitable access for all, especially for older people and BME communities
Train 2400 new psychological therapists

8. Equalities
Need to ensure that access and outcomes by those with protected characteristics as defined by the Equality Act 2010 are in line with total population
Funding to DH Strategic Partners to work to increase IAPT access from BME communities, faith communities, gypsies and travellers, older people, lesbian and gay people
Data collection refined to capture equalities information
National data currently available for referrals only
From Q1 2013/14 national reports available for those entering and completing treatment.

9. Children & Young Peoples IAPT
Service transformation project embedding IAPT quality markers of in existing CAMHS Services:
evidence based therapy,
session by session outcome monitoring,
close supervision
with partnership with children and young people in existing CAMHS
Wave 3 bids received, decision by late June / early July
Wave 1 sites staff training in Interpersonal Psychotherapy (IPT) and Systemic Family Practice (SFP)
Aim to provide 60% of year olds with access to a transformed CAMHS service by April 2015.
In addition, the Multi Systemic Therapy Programme (MST) is undertaking research and increasing the capacity of childrens services to provide evidence based treatment packages for very difficult children and their families in conjunction with the Department for Education

10. LTC/MUS Pathfinders
15 Pathfinder sites selected across England covering a range of LTC and MUS care pathways using £2million of central funding in 2012/13
Phase 1 Pathfinder Project ran from April 2012 – March 2013
Final data submission from Pathfinder sites to evaluation agency in April 2013
Pathfinder report with findings - Autumn 2013
Extending the majority of pathfinders into 2013/14 using further £1.8million of central funding.
Pathfinders looking to test:
Is there an optimal stepped care pathway?
What core therapy competencies, experience and training required?
How potentially cost-effective and efficient are the different models of care?

11. IAPT for SMI
Looking to transform existing mental health services to be better able to provide NICE approved and evidence based psychological therapies to people with bipolar disorder, personality disorders and psychosis
No new workforce, focus on competence, education and training of existing workforce
Demonstrate that the provision of psychological therapies can support positive outcomes for patients, staff, the NHS and the economy as a whole
Six Demonstration sites underway
Competency Frameworks available via link on IAPT website

12. Payment by Results
Aim: to develop a national outcome based currency for use in commissioning of IAPT services
23 commissioned IAPT services to develop and test the feasibility of a draft currency model started on 1st April 2012 with initial phase ended on 31st March 2013
Final data submission for analysis provided in January with final feasibility report published by June 2013
Plan to extend the current currency development pilot in an increased number of IAPT sites in 2013/14 with view to road testing the currency from April 2015

13. IAPT Data Standard
IAPT Data Standard used for national reporting of KPIs since in April First report for Q1 2013/14 due on 17th October 2013
Analysis of Q4 2012/13 data by the HSCIC shows discrepancies between what is reported via Omnibus and the IAPT Data Standard. Work is underway to understand the discrepancies and what is causing them to occur. This work will result a better understanding of data flows and improvements in data quality
Version 1.5 Data Change Notice which incorporate changes to allow clock pauses in presently going through the ISB process. It is expected that an Information standards notice will be issued in December 2013 for implementation by July 2014

14. Further Information & Contact Details
IAPT website:
Telephone:
Mobile: